HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division .
2300 Virginia Avenue .
Fort Pierce, Fl. 34982
772-462-2265 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#5L4-' ftil-d V- I
SCANNED
St tUCBCOunty
I, s+ 0 icensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under468 F.S, to make such an Inspectlon.
On or about 10hjjq . I did personally inspect the roof deck nailing
(Date)
work at: /n(x) N .3 `t` Z T- TIP-rze E. �r L
(Job site address)
15-)—L
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building C e Section 708 or the product approval submitted (whichever
is most en
i IZ)z6Noa
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF-(.A\dn Y,.,.l
Sworn to and subscribed before me this —2'3''A a o 20�
by a d'�•?1if1_fh .Who s peI rsonally know to me or who has produced
as identi ication.
Notary Public, State of Florjd�
Signature of Notary: L
Commission Number (Seal) e
DAVID W fi1NN
En -_ MY COMMISSION GGOBB308
EXPIRES January 26. 2021